BMS Bullying Survey 6th grade
Bullying is a repeated behavior, that is intentional and designed to inflict harm or hurt another person and the person being bullied often is unable or unwilling to protect him/herself.
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1.) I am a:
Clear selection
2.) Have you been bullied?
(If you answer "C", skip ahead to question #10)
3.) If you have been bullied, how often?
Clear selection
4.) Where did it happen? (Select all that apply)
5.) If it happened at school, where?
6.) If you have been bullied, how? ( Select all that apply)
7.) If you marked Cyber Bullied, what method was used?
8.) If you were Cyber Bullied, when did it occur?
9.) Has bullying caused you to miss school or a school activity?
Mark those that apply
10.) Have you seen or know about OTHER students being bullied?
(If you answer "C", skip ahead to question #18)
11.) If yes, how often did it happen?
Clear selection
12.) Where did it happen? (Select all that apply)
13.) If it happened at school, where did it occur? (Select all that apply)
14.) What have bullies done to someone you know? ( Select all that apply)
15.) If you marked Cyber Bullied, what method was used?
16.) If you marked Cyber Bullying, when did it occur?
17.) Has bullying caused someone you know to miss school or a school activity?
Mark those that apply
18.) List some actions you think students could do to help prevent bullying from happening...
19.) List some actions you think parents and school staff could do to help prevent bullying from happening...
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